Individual provider Active NPI

David S Keisler Jr., MD - INT MED & GASTR

  • Gastroenterology Physician
  • Aiken, SC
National Provider Identifier
1740367705
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
7819 Issued in SC
Practice address
410 University Pkwy
Aiken Internal Med PA Ste 2500
Aiken, SC 29801-6810
Phone
(803) 648-7888
Fax
(803) 648-3302
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 7819 SC Primary

Addresses

Primary practice location

410 University Pkwy
Aiken Internal Med PA Ste 2500
Aiken, SC 29801-6810

Mailing address

PO Box 215
Aiken, SC 29802-0215
Phone (803) 648-7888

Other identifiers 2

IdentifierTypeStateIssuer
110048688OtherSCRAILROAD MEDICARE
078196MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000775 SC Practitioner - Internal MedicinePractitioner - Gastroenterology 1254528961 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7819SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Internal Med PA CurrentSince Oct 1, 1979 Accepting new patients
Aiken Regional Medical Centers LLC CurrentSince Jan 28, 2020 Accepting new patients
Aiken Regional Medical Centers LLC Current Accepting new patients
Aiken Regional Medical Centers, LLC. CurrentSince Jan 28, 2020 Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

410 University Pkwy
Ste 2500
Aiken, SC 29801
Phone (803) 648-7888

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1740367705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298020215",
            "telephone_number": "803-648-7888",
            "fax_number": "803-648-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "AIKEN INTERNAL MED PA STE 2500",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-648-7888",
            "fax_number": "803-648-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISLER",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD - INT MED & GASTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "7819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110048688",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078196",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.